Individual
KATRINA M BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
(601) 638-0031
Mailing address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
(601) 638-0031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M8023
MS
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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